Abstract
The aim of this study was to assess factors associated with unprotected receptive anal intercourse (URAI) in a sample of MSM recruited by respondent driven sampling in Brazil. Among 3,449 participants, 36.5 % reported URAI. Final logistic model indicated that living with a male partner, illicit drug use, having stable partnership, having sex with men only, having few friends encouraging condom use, and high self-perceived risk for HIV infection were characteristics independently associated with URAI. Intervention strategies should focus on the role of anal sex practices on HIV transmission, address illicit drug use, stigma and expansion of HIV testing and care.
Similar content being viewed by others
References
Ministry of Health. Health Surveillance Secretariat. Department of STD, aids and viral hepatitis. UNGASS – HIV/Aids, Brazilian Answer 2008–2009. Country Progression Report. Brasília; 2010. Portuguese.
Baggaley RF, White RG, Boily MC. HIV transmission risk through anal intercourse: systematic review, meta-analysis and implications for HIV prevention. Int J Epidemiol. 2010;39:1048–63.
Beyrer C, Baral SD, van Griensven F, et al. Global epidemiology of HIV infection in men who have sex with men. Lancet. 2012;380(9839):367–77.
Gondim RC, Kerr LRFS, Werneck GL, Macena RHM, Pontes MK, Kendall C. Risky sexual practices among men who have sex with men in Northeast Brazil: results from four sequential surveys. Cad Saude Publica. 2009;25(6):1390–8.
Fisher JD, Fisher WA. Changing AIDS-risk behavior. Psychol Bull. 1992;111(3):455–74.
Kerr LS, Mota RS, Kendall C, et al. HIV among MSM in a large middle-income country. AIDS. 2013;27(3):427–435.
Heckathorn DD. Respondent-driven sampling: a new approach to the study of hidden populations. Soc Probl. 1997;44(2):174–99.
Szwarcland CL, Souza PRB Jr, Damacena GN, Barbosa A Jr, Kendall C. Analysis of data collected by RDS among sex workers in 10 Brazilian cities, 2009: estimation of the prevalence of HIV, variance, and design effect. J Acquir Immune Defic Syndr. 2011;57(Suppl. 3):S129–35.
Brazil. Ministry of Health. Health Surveillance Secretariat. Department of STD, aids and viral hepatitis. [Survey of Knowledge, Attitud8es and Practices related to STD and AIDS of the Brazilian Population aged 15 to 64 years old, 2008]. Brasília: Ministry of Health; 2011.
Guy RJ, Wand H, Wilson DP, et al. Using population attributable risk to choose HIV prevention strategies in men who have sex with men. BMC Public Health. 2011;11:247.
Leigh BC, Stall R. Substance use and risky sexual behavior for exposure to HIV: issues in methodology, interpretation and prevention. Am Psychol. 1993;48(10):1035–45.
Gile KJ, Handcock MS. Respondent-driven sampling: as assessment of current methodology. Sociol Methodol. 2010;40(1):285–327.
Acknowledgments
This study was coordinated by the Federal University of Ceará with technical and financial support of Brazilian Ministry of Health/Secretariat of Health Surveillance/Department of STD, Aids and Viral Hepatitis through the Project of International Technical Cooperation AD/BRA/03/H34 between the Brazilian Government and the United Nations Office on Drugs and Crime–UNODC, and the collaboration of involved institutions. Dr Kerr thanks the Institute for Global Health of the University of San Francisco California where the project was conceived, and the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) for supporting her post-doctorate fellowship at UCSF (# BEX 3495/06-0).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Rocha, G.M., Kerr, L.R.F.S., de Brito, A.M. et al. Unprotected Receptive Anal Intercourse Among Men Who have Sex with Men in Brazil. AIDS Behav 17, 1288–1295 (2013). https://doi.org/10.1007/s10461-012-0398-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10461-012-0398-4